Individual
REBECCA ANNE HIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-4000
Mailing address
22824 GARY LN, SAINT CLAIR SHORES, MI 48080-2512
(313) 613-1444
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704317747
MI
Other
Enumeration date
10/24/2019
Last updated
03/25/2020
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